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Journal of Obstetrics, Gynecology and Cancer Research، جلد ۳، شماره ۴، صفحات ۰-۰
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عنوان انگلیسی Maternal Death Following Misdiagnosis of emolysis, Elevated Liver enzymes, and Low Platelet count (HELLP) Syndrome: A Case Report and Review of Literature
چکیده انگلیسی مقاله Introduction: HELLP syndrome is characterized by hemolysis, elevated liver enzymes, and low platelet count; it probably shows a severe form of preeclampsia. This syndrome usually occurs in third trimester of pregnancy and may be associated with severe complications, including subcapsular liver hematoma, eclampsia, pulmonary edema, liver or renal dysfunction, and even maternal death. This study aimed to report a case of maternal death misdiagnosis of HELLP syndrome. Patient Information: A 28-year-old pregnant woman with gestational age of 28 weeks referred to an emergency ward because of epigastric pain, nausea, and vomiting. She was discharged after receiving outpatient treatment. The next day, she was referred to the hospital because of seizure, decreased level of consciousness, and hypertension. A cesarean section was performed immediately. Unfortunately, some hours after the surgery, cardiac arrest occurred and she died in intensive care unit (ICU). Conclusion: Nausea, vomiting, and epigastric pain in the late second or third trimester of pregnancy are among the significant symptoms which should be seriously taken into consideration. Therefore, it is recommended that a patient be hospitalized and precise evaluation be performed to rule out the life-threatening differential diagnoses, like HELLP syndrome, and to prevent dangerous complications which can lead to maternal death.
کلیدواژه‌های انگلیسی مقاله HELLP Syndrome, Pregnancy, Maternal Death, Diagnosis
نویسندگان مقاله | Sedigheh Ayati
Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Leila Pourali
Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Atiyeh Vatanchi
Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Lida Jedi
Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Zahra Mohades Ardebili
General Practitioner, Tehran University of Medical Sciences, Tehran, Iran
نشانی اینترنتی http://jogcr.com/browse.php?a_code=A-10-56-2&slc_lang=en&sid=1
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